December 10th, 2010 by DavidHarlow in Better Health Network, Health Policy, News, Opinion
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I’ve seen at least half a dozen links to the op-ed coauthored by Newt Gingrich and neurosurgeon Kamal Thapar about how the doctor used information on Facebook to save a woman’s life. (It was published by AOL News. Really.)
In brief, a woman who had been to see a number of different health care providers without getting a clear diagnosis showed up in an emergency room, went into a coma and nearly died. She was saved by a doctor’s review of the detailed notes she kept about her symptoms, etc., which she posted on Facebook. The story is vague on the details, but apparently her son facilitated getting the doc access to her Facebook page, and the details posted there allowed him to diagnose and treat her condition. She recovered fully.
Newt and Dr. Thapar wax rhapsodic about how Facebook saved a life, and sing the praises of social media’s role in modern medicine. (I’m not sure how this really fits in with Newt’s stance on health reform, within his 12-step program to achieve the total replacement of the Left…but, hey, nobody has the patience these days for so many details anyway.)
Regular readers of HealthBlawg know that I would perhaps be the last to challenge the proposition that social media has a role to play in health care. However, I think Newt got it wrong here. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
December 10th, 2010 by DrRob in Better Health Network, Health Policy, Opinion, True Stories
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I case you didn’t hear the news, the American healthcare system is in financial crisis. One of the biggest culprits indicted in this crises is “unnecessary care,” with estimates ranging from $500 to $650 billion (total spending estimate is $2.6 trillion) going toward things labeled “unnecessary.” Personally I think this is an underestimate, as it doesn’t take into account the some big-ticket items:
- Brand name drugs given when generics would do.
- Antibiotics given for viral infections (and the additional cost due to reactions and resistance).
- Unproven costly care considered “standard of care” (PSA testing, robotic surgery, coronary stents).
- The unnecessarily high price of drugs.
One of the main reasons I am an advocate of EMR is to measure and analyze care, eliminating that which is wasteful, futile, or even harmful. The biggest burden on our system is not the fact that we have a hyper-complex payment system that hides the true cost of care. The biggest burden is the wasteful care that this system agrees to pay for. In fact, I suspect that the main reason our system has become hyper-complex and covert in its spending is to hide this waste from prying eyes.
It sounds easy: Just eliminate costly unnecessary care and save the system. While you are at it, why not bring world peace, eliminate poverty, and make a detergent that cleans, softens, and deodorizes all at once? Read more »
*This blog post was originally published at Musings of a Distractible Mind*
December 9th, 2010 by DrRich in Better Health Network, News, Opinion, Research
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DrRich is delighted to note that a very good and longtime friend and former colleague has been named as one of the HealthLeaders 20 for 2010 — that is, as one of 20 people, chosen by HealthLeaders Media, who are changing healthcare for the better.
DrRich has known this man for nearly two decades, and from the very beginning he has insisted his real name is Joe Smith. So let’s go with that.
Joe’s recognition by HealthLeaders is very well deserved. Joe is chief medical and science officer of the West Wireless Health Institute in San Diego, a non-profit institution whose mission is to bring wireless technologies to the patient, technologies to diagnose, monitor and treat health conditions in the patient’s own home. Joe is uniquely qualified for this role, having earned a PhD in medical engineering and medical physics, an MD from Harvard (a place DrRich has never even been allowed to see), and having spent years practicing medicine as a (particularly well-known) cardiac electrophysiologist. (Electrophysiology, as regular readers will know, is widely recognized as the geekiest of medical specialties.)
For what it’s worth, DrRich considers Joe to be one of the most honest, most ethical physicians he has ever known, one who will always place the welfare of patients ahead of his own treasure and his own career. DrRich has seen him do it. Read more »
*This blog post was originally published at The Covert Rationing Blog*
December 8th, 2010 by DrWes in Better Health Network, Opinion
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The pros and cons of social media for physicians are nicely reviewed by a number of prominent medbloggers (including yours truly) by Bonnie Ellerin in her recent white paper (pdf). An excerpt:
There is a profound change sweeping the world of medicine. Technology is the driver, but it has nothing to do with a new drug, device or procedure. Rather it is about the change in physician behavior and mindset that technology — the Internet more specifically — has unleashed. Today, physicians of all ages and specialties are online, whether via laptop, desktop, or mobile.
With physicians’ acceptance of technology has come a new type of openness among a small but growing number. In the past, the only doctors who were likely to air views publicly were medical journalists. But, today, there are physicians who blog, tweet, email with patients, post videos, even check-in on Foursquare. If you have any doubt, just look at the “Favorite Blogs” section of a physician blogger or scan the list of followers/following of any doctor on Twitter, and you’ll get a sense of how many of them are getting social. Far more than you thought.
Read more HERE.
-WesMusings of a cardiologist and cardiac electrophysiologist.
h/t: @hjlucks on Twitter via Smartblog On Social Media.
*This blog post was originally published at Dr. Wes*
December 7th, 2010 by RyanDuBosar in Better Health Network, Health Policy, Health Tips, News
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The National Institute of Allergy and Infectious Diseases (NIAID) issued comprehensive food allergy guidelines to help primary care physicians and subspecialists diagnose and manage patients.
The guidelines were published online at the NIAID food allergy guidelines portal, which also has a frequently asked questions section. The agency will release a patient synopsis early next year.
The guidelines establish consistent terminology and definitions, diagnostic criteria and patient management practices. Additional topics covered by the guidelines include the prevalence of food allergy and management of acute allergic reactions to food, including anaphylaxis. The report also identifies gaps about what is known about food allergy.
NIAID Director Anthony S. Fauci, MACP, said, “Because these guidelines provide standardized, concise recommendations on how to diagnose and manage food allergy and treat acute food allergy reactions across specialties, we expect both clinicians and food allergy patients to greatly benefit from these clear state-of-the-science clinical standards.” Read more »
*This blog post was originally published at ACP Internist*
